Provider Demographics
NPI:1093012080
Name:NEWMAN, MARCIA ANN (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:ANN
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26705 MALIBU HILLS RD
Mailing Address - Street 2:SUITE 312
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-5209
Mailing Address - Country:US
Mailing Address - Phone:805-750-3759
Mailing Address - Fax:
Practice Address - Street 1:26705 MALIBU HILLS RD
Practice Address - Street 2:SUITE 312
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91301-5209
Practice Address - Country:US
Practice Address - Phone:805-750-3759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WILPC1851101YP2500X
CAMFC43065106H00000X
FLLMFT1862106H00000X
WILMFT421106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional